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ICD-10 Guide
ICD-10 CodesQ72.3

Q72.3

Billable

Congenital absence of foot and toe(s)

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q72.3 is a billable code used to indicate a diagnosis of congenital absence of foot and toe(s).

Key Diagnostic Point:

Congenital absence of foot and toe(s) refers to a condition where one or both feet, along with one or more toes, are absent at birth. This condition can occur as an isolated anomaly or as part of a syndrome involving other congenital malformations. The absence may result from genetic factors, environmental influences during pregnancy, or a combination of both. Clinically, the absence of foot and toes can lead to significant functional impairments, affecting mobility and balance. It may also be associated with other musculoskeletal deformities such as clubfoot, limb reduction defects, or hip dysplasia. Early diagnosis and intervention are crucial for optimizing outcomes, which may include surgical reconstruction, prosthetic fitting, and physical therapy. The condition is often diagnosed through prenatal imaging or physical examination at birth. Genetic counseling may be indicated, especially if there is a family history of congenital anomalies. Understanding the underlying causes and associated conditions is essential for comprehensive management and care planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and associated anomalies
  • Need for detailed documentation of associated conditions
  • Potential for multiple coding options based on severity
  • Differentiation from similar congenital conditions

Audit Risk Factors

  • Inadequate documentation of associated congenital anomalies
  • Misclassification of the type of congenital absence
  • Failure to document the functional impact on the patient
  • Inconsistent coding across different healthcare providers

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation should include detailed birth history, prenatal imaging results, and any associated congenital anomalies.

Common Clinical Scenarios

Common scenarios include newborn assessments revealing absent foot/toes, referrals for orthopedic evaluation, and multidisciplinary care planning.

Billing Considerations

Considerations include the age of the child, developmental milestones, and the need for early intervention services.

Genetics

Documentation Requirements

Genetic documentation should include family history, genetic testing results, and any syndromic associations.

Common Clinical Scenarios

Scenarios may involve genetic counseling for families with a history of congenital anomalies and discussions about recurrence risks.

Billing Considerations

Considerations include the potential for chromosomal abnormalities and the need for comprehensive genetic evaluation.

Coding Guidelines

Inclusion Criteria

Use Q72.3 When
  • According to official coding guidelines, congenital conditions should be coded based on the specific diagnosis, with attention to any associated anomalies and the impact on the patient's health and function

Exclusion Criteria

Do NOT use Q72.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27599CPT Code

Unlisted procedure, knee

Clinical Scenario

Used for surgical interventions related to congenital absence of foot.

Documentation Requirements

Detailed operative notes and pre-operative assessments.

Specialty Considerations

Orthopedic specialists should provide comprehensive documentation of the surgical approach and expected outcomes.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What documentation is required for coding Q72.3?

Documentation should include a detailed clinical assessment, prenatal history, imaging results, and any associated congenital anomalies. It is essential to document the functional impact of the absence on the patient's mobility and development.